Organization Active NPI

Bush Chiropractic LLC

Doing business as Hobart Family Chiropractic

  • Chiropractor
  • Hobart, WI
National Provider Identifier
1194576959
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BUSH CHIROPRACTIC LLC
Doing business as
Hobart Family Chiropractic
Practice address
560 Centennial Centre Blvd Ste 150
Hobart, WI 54155-8918
Phone
(920) 865-7225
NPI assigned
Mar 29, 2024
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric Bush, DCNPI 1356109623
Title
Sole Member
Phone
(920) 865-7225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

560 Centennial Centre Blvd Ste 150
Hobart, WI 54155-8918

Mailing address

560 Centennial Centre Blvd Ste 150
Hobart, WI 54155-8918
Phone (920) 865-7225

Other names 1

  • Hobart Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510002305 WI Part B Supplier - Clinic/Group Practice 5395186118 Receives reassigned benefits from 1 practitioner
Practice locations: Hobart, WI

National Provider Directory

National Provider Directory

Locations

560 Centennial Centre Blvd
Ste 150
Oneida, WI 54155
Phone (920) 865-7225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1194576959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CENTENNIAL CENTRE BLVD STE 150",
            "city": "HOBART",
            "state": "WI",
            "postal_code": "541558918",
            "telephone_number": "920-865-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CENTENNIAL CENTRE BLVD STE 150",
            "city": "HOBART",
            "state": "WI",
            "postal_code": "541558918",
            "telephone_number": "920-865-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "920-865-7225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hobart Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobart, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.